scholarly journals Effect of Bolus Viscosity on the Safety and Efficacy of Swallowing and the Kinematics of the Swallow Response in Patients with Oropharyngeal Dysphagia: White Paper by the European Society for Swallowing Disorders (ESSD)

Dysphagia ◽  
2016 ◽  
Vol 31 (2) ◽  
pp. 232-249 ◽  
Author(s):  
Roger Newman ◽  
Natàlia Vilardell ◽  
Pere Clavé ◽  
Renée Speyer
Keyword(s):  
European Society ◽  
Oropharyngeal Dysphagia ◽  
White Paper ◽  
Swallowing Disorders ◽  
Safety And Efficacy ◽  
Bolus Viscosity

scholarly journals White Paper by the European Society for Swallowing Disorders: Screening and Non-instrumental Assessment for Dysphagia in Adults

Dysphagia ◽  
2021 ◽  
Author(s):  
Renée Speyer ◽  
Reinie Cordier ◽  
Daniele Farneti ◽  
Weslania Nascimento ◽  
Walmari Pilz ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
European Society ◽  
Diagnostic Performance ◽  
Neurological Diseases ◽  
White Paper ◽  
Swallowing Disorders ◽  
Screening Tools ◽  
Instrumental Assessment ◽  
Patient Reported ◽  
Clinical Swallowing Evaluation

AbstractThis White Paper by the European Society for Swallowing Disorders (ESSD) reports on the current state of screening and non-instrumental assessment for dysphagia in adults. An overview is provided on the measures that are available, and how to select screening tools and assessments. Emphasis is placed on different types of screening, patient-reported measures, assessment of anatomy and physiology of the swallowing act, and clinical swallowing evaluation. Many screening and non-instrumental assessments are available for evaluating dysphagia in adults; however, their use may not be warranted due to poor diagnostic performance or lacking robust psychometric properties. This white paper provides recommendations on how to select best evidence-based screening tools and non-instrumental assessments for use in clinical practice targeting different constructs, target populations and respondents, based on criteria for diagnostic performance, psychometric properties (reliability, validity, and responsiveness), and feasibility. In addition, gaps in research that need to be addressed in future studies are discussed. The following recommendations are made: (1) discontinue the use of non-validated dysphagia screening tools and assessments; (2) implement screening using tools that have optimal diagnostic performance in selected populations that are at risk of dysphagia, such as stroke patients, frail older persons, patients with progressive neurological diseases, persons with cerebral palsy, and patients with head and neck cancer; (3) implement measures that demonstrate robust psychometric properties; and (4) provide quality training in dysphagia screening and assessment to all clinicians involved in the care and management of persons with dysphagia.

scholarly journals European Society for Swallowing Disorders FEES Accreditation Program for Neurogenic and Geriatric Oropharyngeal Dysphagia

Dysphagia ◽  
2017 ◽  
Vol 32 (6) ◽  
pp. 725-733 ◽  
Author(s):  
R. Dziewas ◽  
◽  
L. Baijens ◽  
A. Schindler ◽  
E. Verin ◽  
...  
Keyword(s):  
European Society ◽  
Oropharyngeal Dysphagia ◽  
Swallowing Disorders ◽  
Accreditation Program

Oropharyngeal dysphagia in multiple sclerosis

2010 ◽  
Vol 16 (3) ◽  
pp. 362-365 ◽  
Author(s):  
Marziyeh Poorjavad ◽  
Fatemeh Derakhshandeh ◽  
Masoud Etemadifar ◽  
Bahram Soleymani ◽  
Alireza Minagar ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Disease Duration ◽  
Oropharyngeal Dysphagia ◽  
Neurological Impairment ◽  
Functional System ◽  
Swallowing Disorders ◽  
Limited Attention ◽  
Swallowing Function ◽  
Oral Stage ◽  
Dysphagic Patients

Swallowing disorders are commonly observed in multiple sclerosis (MS) patients. The complications of dysphagia are common causes of morbidity and death in late stages of MS. However, dysphagia in MS usually receives limited attention. The purpose of this study was to determine the prevalence of different kinds of swallowing disorders in MS patients with mild to moderate disability; and to identify possible associations between clinical and demographic features of patients and the presence of dysphagia. The swallowing functions of 101 consecutive MS patients were screened by the Northwestern Dysphagia Patient Check Sheet. This is a screening test which identifies patients with pharyngeal stage disorders, aspiration, oral stage disorders and/or pharyngeal delay. ‘Dysphagia’ was defined as having at least one of the above mentioned four disorders. Among 101 MS patients, 32 (31.7%) were classified as having dysphagia. Pharyngeal stage disorders were the most common observed impairment (28.7%) and aspiration, oral stage disorders, and pharyngeal delay were observed in 6.9%, 5%, and 1% of patients, respectively. Dysphagic patients had a significantly longer disease duration ( p = 0.031) and more neurological impairment in cerebellar functional system ( p = 0.04) when compared with non-dysphagic patients. Moreover, dysphagia was significantly more prevalent in patients with more neurological disability as measured by Expanded Disability Status Scale (EDSS) scores ( p = 0.04). These results emphasize the importance of assessment and management of swallowing function in MS patients, particularly in patients with a high EDSS score; more sever cerebellar dysfunction, and long disease duration.

scholarly journals Oropharyngeal dysphagia: when swallowing disorders meet respiratory diseases

2017 ◽  
Vol 49 (4) ◽  
pp. 1602530 ◽  
Author(s):  
Eric Verin ◽  
Pere Clavé ◽  
Maria Rosaria Bonsignore ◽  
Jean Paul Marie ◽  
Chloe Bertolus ◽  
...  
Keyword(s):  
Respiratory Diseases ◽  
Oropharyngeal Dysphagia ◽  
Swallowing Disorders

scholarly journals Oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease: a systematic review

Revista CEFAC ◽  
2009 ◽  
Vol 11 (3) ◽  
pp. 449-506 ◽  
Author(s):  
Lisa O'Kane ◽  
Michael Groher
Keyword(s):  
Systematic Review ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Oropharyngeal Dysphagia ◽  
Swallowing Disorders ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Homogeneous Groups ◽  
Randomized Control ◽  
The Relationship

BACKGROUND: oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease. PURPOSE: patients with Chronic Obstructive Pulmonary Disease (COPD) can be vulnerable to respiratory incompetence that may lead to swallowing impairment. A systematic review was conducted to investigate the relationship between Chronic Obstructive Pulmonary Disease and oropharyngeal dysphagia. Forty-seven articles were retrieved relating to Chronic Obstructive Pulmonary Disease and dysphagia. Each article was graded using evidence-based methodology. Only 7 articles out of the 47 addressed oropharyngeal swallowing disorders in patients with Chronic Obstructive Pulmonary Disease. This review found few studies that documented the relationship between oropharyngeal swallowing disorders and Chronic Obstructive Pulmonary Disease. There were no randomized control trials. CONCLUSION: although the evidence is not strong, it appears that patients with Chronic Obstructive Pulmonary Disease are prone to oropharyngeal dysphagia during exacerbations. Future studies are needed to document the prevalence of oropharyngeal dysphagia in homogeneous groups of patients with Chronic Obstructive Pulmonary Disease, and to assess the relationship between respiration and swallowing using simultaneous measures of swallowing biomechanics and respiratory function. These investigations will lead to a better understanding of the characteristics and risk factors of developing oropharyngeal dypshagia in patients with Chronic Obstructive Pulmonary Disease.

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